Title Page
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Audit Title
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Store Number
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Location
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Conducted on:
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Conducted By:
Front of House
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Floors in good condition, dry and maintained? Not slippery? Documented wet/dry inspection conducted prior to all rush periods?
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Portable warning systems available to indicate wet floors or temporary hazards?
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Carpet/ walk off mats used at entrances with no raised edges and dry?
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No water leaks from ice chest or ice machines?
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Anti-slip shoes worn by all employees?
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Dining area / equipment clean and in good repair? Chairs? Tables? Carpet? Flooring?
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Exterior of building in good repair? Including parking lot? Back Loading area?
Restrooms
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CLEAN: Doors, threshold, corners, sink, toilet, light fixtures, floors, baseboards, ceilings, walls, vents, trashcan, odor free
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Toilet, Sink, Soap Dispenser and covered trash receptacle all working properly
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Paper goods stored correctly
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Employee Hand Washing Signs Posted?
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Sanitary Disposal: Available, clean and working properly
Back of House
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Floors in good condition, dry and maintained? Not slippery? Documented wet/dry inspection conducted prior to all rush periods?
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Anti-slip shoes worn by all employees?
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Counters, racks, beverage area, etc. in good repair free of rough or sharp edges and corners?
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Compressed gas cylinder secured to the wall? Or otherwise protected?
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No water leaks from ice chest or ice machines?
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Grease producing cooking equipment receptacles emptied regularly?
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Is hood and duct over cooking equipment clean and free from grease buildup? Are filters in place, are they clean? No gaps?
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Oven mitts available and in good condition? Forearm length?
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Are cut gloves available for use, especially during mandolin use, oysters ? Are various sizes available?
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Is knife training provided to employees? Are safe knife practices being followed?
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Are extra knives properly stored in sheaves or other means to protect from the blade while in storage?
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Is Hobart Mixer equipped with a bowl guard?
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Proper tools (self closing box knives, etc.) provided and used to open crates boxes barrels and other containers?
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No storage within 36 inches of the water heater or 18 inches of sprinkler heads?
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Ladders or stepstools available to reach overhead stock? Ladders or stools are in good condition? Ladders or stools are sufficient height to eliminate overhead reaching?
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Are all chemicals and cleaning agents stored away from food? Are they properly labeled and sealed?
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Are clear pathways maintained during receiving of products?
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Are the ashes from the wood fired ovens disposed of properly? In a metal can? Allowed to cool before discarding?
Food Safety
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Employees and Managers have had food safety training?
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Is the QUAT concentration between 200 - 300?
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Are QUAT test strips readily available?
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Is the Victory Wash/AFVT concentration at 60?
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Is the Victory Wash/AFVT test strips readily available?
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Is Victory Wash/AFVT used on all produce & fruit even if pre-washed?
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Is the State of MN Food Safety License Posted for Chef and GM?
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City Food / Sidewalk Cafe / Delivery Vehicle Licenses posted
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Is the Beer/Wine license posted?
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All hand sinks clean, stocked and in working order? Nothing blocking hand sink access?
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Proper hand washing evident by all staff. Turn off sink with hand towel.
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Are gloves used on all ready to eat foods?
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Is all food stored 6” off floor?
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Are all chemical bottles properly labeled & stored away from food?
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Are employee beverage stored with lids & off the line in designated area?
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No personal items anywhere on the lines including beverages
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No grazing
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Daily Safety Log filled out correctly and completely every day
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Illness log completed
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Pass health inspections and Betty Packer reports with no Critical Violations?
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Sense of urgency shown in follow-through action on above reports
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Proper cooling Log used and proper heating procedures followed
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Proper rotation of dry food. FIFO (Chips, soda)
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Cutting boards clean and in good condition
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Box Lunch Procedure Posted and Followed
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Line staff demonstrates knowledge of Food temp safety
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Document the Temperature:
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Ask staff what temperature hot foods need to be stored at: Document their answer:
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Ask staff what temperature hot foods need to be reheated to for 1 minute for before being served: Document their answer:
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Food handled with patty paper, tongs or gloved hands
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Are all designated chefs equipped with thermometers as part of their uniform? Or are thermometers available for checking food temps?
Deli / Pastry Cases
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Is the salad case clean and in good repair: doors, sides, cracks, front, bottom
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Is the sandwich case clean and in good repair: doors, sides, cracks, front, bottom
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Is the pastry case clean and in good repair: doors, sides, cracks, front, bottom
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Are proper pastry rotation and shelf life rules being followed?
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Are chilled platters used in the case?
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Proper Registered Case Temperatures: (Please Temp at least three cases)
Sandwich, Salad, Pastry
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Name of case Temp'd:
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Document the Temperature:
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Proper Item Temperatures: (Please Temp at least three items)
Sandwich, Salad, Pastry
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Name of Item Temp'd:
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Document the Item Temperature:
Service Line
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CLEAN: Ceiling, walls, floors, corners, baseboards, under racks, shelving and speed racks
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Green Soapy water bucket clean and in use with blue towels on service line.
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Red Sanitation bucket clean and in use with blue towels on service line. Proper PH
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Service staff demonstrates knowledge of Monthly Features
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All Staff demonstrate knowledge of Proper PH
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Thermometers in reach-in coolers in sight?
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Document Cooler Temperatures:
Cooler Location
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Location of Cooler / Name:
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Document the Temperature:
Cooks Line / Prep Area
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CLEAN: Ceiling, walls, floors, corners, baseboards, under racks, shelving and speed racks
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Green Soapy water bucket clean and in use with blue towels on service line.
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Sanitation bucket clean and in use with blue towels. Proper PH
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Proper storage of multi-use tools such as tongs and spatula's. No cross-contamination possible.
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Line staff demonstrates knowledge of Monthly Features
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Sign's indication Prep Sink Only
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2+ Digital Thermometer's available to all staff and calibrated weekly.
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Proper storage of raw and cooked product in all coolers.
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Pizza Rail Top & Reach-in Closed in down times?
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Document the Temperature:
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Entrée Rail Top & Reach-in Closed in down times?
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Document the Temperature:
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Freezer Reach-in Shut in down times?
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Thermometers in sight in all reach-in coolers?
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Document the Temperature:
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Pizza oven clean inside and out?
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Document the Temperature:
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Pot handles on stove turned in and away?
Walk-In Cooler
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Document the Temperature:
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CLEAN: Ceiling, walls, floors, corners, baseboards, under racks, shelving and speed racks
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Refrigerated Storage Form Posted
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Proper storage of raw and cooked product in all coolers. No cross-contamination possible.
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All refrigerated product properly stored. Are products being FIFO, are products labeled with use by dates? Are prdoucts being labeled with day dots?
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Cooling Wand in use or in Freezer wrapped in plastic wrap.
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Shallow Pan Cooling Evident
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No expired product
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All items labeled with use by dates
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Freezer and cooler interior door latch in working order? Lights provided with protective globes?
Dish Area / Mop Room
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CLEAN: Ceiling, walls, floors, corners, baseboards, under racks, shelving and speed racks
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SDS or "Right to Understand" Station in order. Staff shows a proper understanding of all chemicals used in the restaurant
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Proper chemical storage and dispenser in working order
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Dish Machine, shelves, backsplash & sprayer head clean and operable
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Proper dishwashing procedures adhered to. Test strips used daily. Water changed at least 3 times daily
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Mop room/sink clean; corners, floors: mop/broom/dustpan hung & in good condition, pails rinsed
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Ice machine & filter clean, proper scoop & blue bucket storage
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First Aid kit well stocked. Blood Pathogen Kit available
Lifting / Manual Material Handling. / Ergonomics
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Are carts/wheels of moveable equipment in good working order? Are they free moving or do they require extra force to move?
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Training on proper lifting techniques?
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Heavy or bulky items stored on shelves between knee and chest level? Lighter items on top?
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Task so arranged to prevent over reaching, awkward movements, or constant bending?
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Job Rotation for repetitive tasks?
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Ergonomically designed tools being used? Fatigue Mats for prolonged standing?
Emergency Action Plan
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First aid kit available for emergencies? Adequately Stocked?
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Is at least one person per shift trained in First Aid / CPR / AED Use? Including first aid for choking?
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Do Employees know where to locate & how to operate Emergency Gas Shut Offs?
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Remote release for the automatic extinguisher accessible and known to employees?
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Do employees know where to go in the event of an emergency? Fire, Tornado, Hurricane, other?
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Automatic fire protection system over cooking equipment inspected and serviced by a qualified person in the last six months with rubber caps in place?
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Fire extinguishers identified by class and service yearly? One class 10 BC near cooking equipment into class ABC in other areas?
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Are Emergency Exits blocked?
Electrical Equipment
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Extension cords prohibited from use as a substitute for permanent fixed wiring?
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Electrical panel readily accessible? Cool to the touch? Panel door closed? No storage in front of the panel (keep clear 36")?
Miscellaneous
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Are there any additional hazards that need to be documented?